XOLETSISTOXOLEDOXOLITIAZ BILAN BEMORLARNI DAVOLASHDA MINIMAL INVAZIV JARROHLIK ARALASHUVLARNI TAKOMILLASHTIRISH
##article.subject##:
xolelitiyoz; xoletsistokoledoxolitiaz; xolangit; bir bosqichli davolash, gibrid minimal invaziv aralashuvlar##article.abstract##
Maqolada o’t tosh kasalligining murakkab shakllari bo'lgan bemorlarda gibrid minimal invaziv texnologiyalardan foydalangan holda jarrohlik davolash usuli (rentgen jarrohlik xonasida laparoskopik va endoskopik usullar) muhokama qilinadi. 2017-2023-yillarda 1163 nafar o‘tkir xoletsistit bilan og‘rigan bemor operatsiya qilindi. Ulardan 107 nafar (9,2%) bemorda jigardan tashqari o‘t yo‘llarida toshlar borligi bilan birga obstruktiv sariqlik va xolangit belgilari bilan o‘tkir xoletsistit kombinatsiyasi kuzatilgan. Ushbu guruhda biz 55 bemorda o't yo'llarini sanatsiya qilish uchun gibrid minimal invaziv texnologiyalardan foydalandik. Ochiq kirishga o'tish darajasi 7,2% (4 bemor) ni tashkil etdi, operatsiyadan keyingi erta davrda operatsiyadan keyingi asoratlar 5,45% (3) bemorlarda qayd etilgan. Operatsiyadan keyingi o'lim kuzatilmadi. Xolelitiyozning murakkab shakllari uchun o't pufagi va o't yo'llarida gibrid minimal invaziv operatsiyalar operatsiyadan keyingi asoratlarning minimal soniga ega bo'lgan past travmatik aralashuvdir. Qo'llash mumkin bo'lmagan holatlar bo'lmasa, ushbu texnologiya shoshilinch jarrohlik yordamini ko'rsatadigan muassasalarda keng qo'llanilishi mumkin.
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Статья поступила в редакцию 05.07.2024; одобрена после рецензирования 21.08.2024; принята к публикации 24.08.2024.
The article was submitted 05.07.2024; approved after reviewing 21.08.2024; accepted for publication 24.08.2024.
Информация об авторах:
Курбаниязов Зафар Бабажанович - д.м.н., профессор, Заведующий кафедрой «Хирургические болезни, трансплантология и урология №1» 2-го лечебного факультета. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: sammi@sammi.uz, https://orcid.org/0000-0001-5468-9403
Мухиддинов Бобур Хуроз угли – базовый докторант кафедры. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: boburmed6886@gmail.com, https://orcid.org/0009-0008-7789-3819
Аскаров Пулат Азадович - к.м.н., заведующий курсом «Миниинвазивная и лапароскопическая хирургия» pulic76@mail.ru https://orcid.org/ 0000-0003-4542-1442
Источники финансирования: Работа не имела специального финансирования.
Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
Вклад авторов:
Курбаниязов З.Б. — идеологическая концепция работы, написание текста; редактирование статьи;
Аскаров П.А., Мухиддинов Б.Х. — сбор и анализ источников литературы, написание текста.
Information about the authors:
Kurbaniyazov Zafar Babazhanovich - Doctor of Medical Sciences, Professor, Head of the Department of “Surgical Diseases, Transplantology and Urology No. 1” of the 2nd Faculty of Medicine Samarkand state medical university. Samarkand, Uzbekistan; E-mail: sammi@sammi.uz,
Mukhiddinov Bobur Khuroz Ugli – basic doctoral student of the department. Samarkand State Medical University. Samarkand, Uzbekistan; E-mail: boburmed6886@gmail.com, https://orcid.org/0009-0008-7789-3819
Askarov Pulat Azadovich - candidate of medical sciences, head of the course “Minimally invasive and laparoscopic surgery” pulic76@mail.ru https://orcid.org/ 0000-0003-4542-1442
Sources of funding: The work did not receive any specific funding.
Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.
Contribution of the authors:
Kurbaniyazov Z.B. — ideological concept of the work, writing the text; editing the article;
Askarov P.A., Mukhiddinov B.Kh. — collection and analysis of literature sources, writing text.